NPI | 1376879577 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA WATFORD Executive Director 770-374-7268 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 926894182A) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2009-10-22 |